Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MC CUTCHEN ACETABULAR CUP

Facility

$2,889.00

Hospital Charge Code	270335028
Hospital Revenue Code	278
Min. Negotiated Rate	$82.05
Max. Negotiated Rate	$1,444.50
Rate for Payer: Aetna Commercial	$1,097.82
Rate for Payer: Aetna Medicare Advantage	$866.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$736.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$736.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$577.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$736.70
Rate for Payer: Cigna Commercial	$1,444.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$699.14
Rate for Payer: Qualcare PPO/HMO/WC	$433.35
Rate for Payer: UnitedHealthcare Community & State	$91.29
Rate for Payer: Wellpoint Medicaid Managed Care	$82.05

MC CUTCHEN ACETABULAR CUP

Facility

$2,889.00

Hospital Charge Code	270335028
Hospital Revenue Code	278
Min. Negotiated Rate	$433.35
Max. Negotiated Rate	$699.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$577.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$699.14
Rate for Payer: Qualcare PPO/HMO/WC	$433.35

MC CUTCHEN FEMORAL STEM

Facility

$8,201.00

Hospital Charge Code	270335027
Hospital Revenue Code	278
Min. Negotiated Rate	$1,230.15
Max. Negotiated Rate	$1,984.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,640.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.15

MC CUTCHEN FEMORAL STEM

Facility

$8,201.00

Hospital Charge Code	270335027
Hospital Revenue Code	278
Min. Negotiated Rate	$232.91
Max. Negotiated Rate	$4,100.50
Rate for Payer: Aetna Commercial	$3,116.38
Rate for Payer: Aetna Medicare Advantage	$2,460.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,091.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,091.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,640.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,091.26
Rate for Payer: Cigna Commercial	$4,100.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.15
Rate for Payer: UnitedHealthcare Community & State	$259.15
Rate for Payer: Wellpoint Medicaid Managed Care	$232.91

M CIRCULAR REAMER

Facility

$2,250.00

Hospital Charge Code	270683494
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

M CIRCULAR REAMER

Facility

$2,250.00

Hospital Charge Code	270683494
Hospital Revenue Code	272
Min. Negotiated Rate	$63.90
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$71.10
Rate for Payer: Wellpoint Medicaid Managed Care	$63.90

MCP ARTHROPL W IMPL EACH

Facility

$39,644.20

Service Code	HCPCS 26531
Hospital Charge Code	16000853
Hospital Revenue Code	360
Min. Negotiated Rate	$1,252.76
Max. Negotiated Rate	$31,271.12
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,271.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,536.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,271.12
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,307.49
Rate for Payer: Oxford Commercial	$11,677.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,946.63
Rate for Payer: UnitedHealthcare Commercial	$12,906.00
Rate for Payer: UnitedHealthcare Community & State	$1,252.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57

MCP ARTHROPL W IMPL EACH

Facility

$39,644.20

Service Code	HCPCS 26531
Hospital Charge Code	16000853
Hospital Revenue Code	360
Min. Negotiated Rate	$5,946.63
Max. Negotiated Rate	$5,946.63
Rate for Payer: Qualcare PPO/HMO/WC	$5,946.63

MCROPUNCTRE SET 5FR SS ECHOGEN

Facility

$24.50

Hospital Charge Code	270650009
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$12.25
Rate for Payer: Aetna Commercial	$9.31
Rate for Payer: Aetna Medicare Advantage	$7.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.25
Rate for Payer: Cigna Commercial	$12.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.37
Rate for Payer: Oxford Commercial	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.67
Rate for Payer: UnitedHealthcare Commercial	$4.90
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

MCROPUNCTRE SET 5FR SS ECHOGEN

Facility

$24.50

Hospital Charge Code	270650009
Hospital Revenue Code	272
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$3.67
Rate for Payer: Qualcare PPO/HMO/WC	$3.67

MCYTOGEN CHROM IN SITU HYBRID

Facility

$204.00

Service Code	HCPCS 88273
Hospital Charge Code	38477180
Hospital Revenue Code	311
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$94.68
Rate for Payer: Aetna Medicare Advantage	$112.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.27
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: Cigna Medicare Advantage	$34.81
Rate for Payer: Clover Medicare Advantage	$33.07
Rate for Payer: EmblemHealth Commercial	$104.43
Rate for Payer: Humana Medicare Advantage	$35.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.04
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$27.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.81
Rate for Payer: Wellcare Medicare Advantage	$34.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

MCYTOGEN CHROM IN SITU HYBRID

Facility

$204.00

Service Code	HCPCS 88273
Hospital Charge Code	38477180
Hospital Revenue Code	311
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

M CYTOGEN CHROMO IN SITU HYBRI

Facility

$245.00

Service Code	HCPCS 88274
Hospital Charge Code	38477192
Hospital Revenue Code	311
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

M CYTOGEN CHROMO IN SITU HYBRI

Facility

$153.00

Service Code	HCPCS 88272
Hospital Charge Code	38477169
Hospital Revenue Code	311
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

M CYTOGEN CHROMO IN SITU HYBRI

Facility

$153.00

Service Code	HCPCS 88272
Hospital Charge Code	38477169
Hospital Revenue Code	311
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$110.70
Rate for Payer: Aetna Medicare Advantage	$131.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.64
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: Cigna Medicare Advantage	$40.70
Rate for Payer: Clover Medicare Advantage	$38.66
Rate for Payer: EmblemHealth Commercial	$122.10
Rate for Payer: Humana Medicare Advantage	$41.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.78
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.70
Rate for Payer: Wellcare Medicare Advantage	$40.70
Rate for Payer: Wellpoint Medicaid Managed Care	$4.35

M CYTOGEN CHROMO IN SITU HYBRI

Facility

$245.00

Service Code	HCPCS 88274
Hospital Charge Code	38477192
Hospital Revenue Code	311
Min. Negotiated Rate	$6.96
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$115.27
Rate for Payer: Aetna Medicare Advantage	$137.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$42.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.73
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: Cigna Medicare Advantage	$42.38
Rate for Payer: Clover Medicare Advantage	$40.26
Rate for Payer: EmblemHealth Commercial	$127.14
Rate for Payer: Humana Medicare Advantage	$43.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$42.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.70
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$33.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$42.38
Rate for Payer: Wellcare Medicare Advantage	$42.38
Rate for Payer: Wellpoint Medicaid Managed Care	$6.96

M CYTOGEN/CHROMO IN SITU HYBRI

Facility

$283.00

Service Code	HCPCS 88275
Hospital Charge Code	38477202
Hospital Revenue Code	311
Min. Negotiated Rate	$42.45
Max. Negotiated Rate	$42.45
Rate for Payer: Qualcare PPO/HMO/WC	$42.45

M CYTOGEN/CHROMO IN SITU HYBRI

Facility

$283.00

Service Code	HCPCS 88275
Hospital Charge Code	38477202
Hospital Revenue Code	311
Min. Negotiated Rate	$8.04
Max. Negotiated Rate	$185.69
Rate for Payer: Aetna Commercial	$139.24
Rate for Payer: Aetna Medicare Advantage	$165.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.69
Rate for Payer: Cigna Commercial	$141.50
Rate for Payer: Cigna Medicare Advantage	$51.19
Rate for Payer: Clover Medicare Advantage	$48.63
Rate for Payer: EmblemHealth Commercial	$153.57
Rate for Payer: Humana Medicare Advantage	$52.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$51.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.58
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.45
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$40.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$51.19
Rate for Payer: Wellcare Medicare Advantage	$51.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8.04

M CYTOGENETICS DNA PROBE EA

Facility

$127.00

Service Code	HCPCS 88271
Hospital Charge Code	38477151
Hospital Revenue Code	311
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

M CYTOGENETICS DNA PROBE EA

Facility

$127.00

Service Code	HCPCS 88271
Hospital Charge Code	38477151
Hospital Revenue Code	311
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$58.26
Rate for Payer: Aetna Medicare Advantage	$69.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.70
Rate for Payer: Cigna Commercial	$63.50
Rate for Payer: Cigna Medicare Advantage	$21.42
Rate for Payer: Clover Medicare Advantage	$20.35
Rate for Payer: EmblemHealth Commercial	$64.26
Rate for Payer: Humana Medicare Advantage	$22.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.02
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$17.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.42
Rate for Payer: Wellcare Medicare Advantage	$21.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.61

MD-60 CONTRAST MEDIA

Facility

$28.00

Hospital Charge Code	270331611
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

MD-60 CONTRAST MEDIA

Facility

$28.00

Hospital Charge Code	270331611
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.28
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

MD GASTROVIEW 30ML

Facility

$132.66

Service Code	NDC 19481604
Hospital Charge Code	60635832
Hospital Revenue Code	255
Min. Negotiated Rate	$19.90
Max. Negotiated Rate	$19.90
Rate for Payer: Qualcare PPO/HMO/WC	$19.90

MD GASTROVIEW 30ML

Facility

$132.66

Service Code	NDC 19481604
Hospital Charge Code	60635832
Hospital Revenue Code	255
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$66.33
Rate for Payer: Aetna Commercial	$50.41
Rate for Payer: Aetna Medicare Advantage	$39.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.83
Rate for Payer: Cigna Commercial	$66.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.49
Rate for Payer: Oxford Commercial	$26.53
Rate for Payer: Qualcare PPO/HMO/WC	$19.90
Rate for Payer: UnitedHealthcare Commercial	$26.53
Rate for Payer: UnitedHealthcare Community & State	$4.19
Rate for Payer: Wellpoint Medicaid Managed Care	$3.77

MD HYBRID GLENOID BASE 4MM

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270687429
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

Know your out-of-pocket cost for care.

All Charges